Damage Control Resuscitation of a Patient With Traumatic Aortic Rupture: A Case Report.
| Autor: | Heiss C; is a staff CRNA at Geisinger Medical Center in Danville, Pennsylvania and has functioned throughout the continuum of prehospital, emergency, and surgical critical care. He has special interests in cardiovascular and trauma anesthesia., Foernges L; is an associate trauma and acute care surgeon at Geisinger Medical Center, Danville, Pennsylvania and assistant professor of surgery at Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania., Minzola D; is the program director of the Geisinger Health System/Bloomsburg University of Pennsylvania Nurse Anesthesia Program, an assistant professor of the Bloomsburg University of Pennsylvania, and a staff CRNA at Geisinger Medical Center. |
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| Jazyk: | angličtina |
| Zdroj: | AANA journal [AANA J] 2020 Jan; Vol. 88 (1), pp. 49-58. |
| Abstrakt: | Traumatic aortic rupture (TAR) is a highly fatal injury mechanism resulting from blunt deceleration forces against the descending aorta. The mechanism of TAR is directly attributed to the aorta suffering damage by indirect shearing forces. The descending aorta remains fixed to the posterior chest wall, while the heart and ascending aorta are exerted forward, thus causing the intimal tear. A characteristic triad presents as increased blood pressure in the upper extremities, decreased blood pressure in the lower extremities, and a widened mediastinum on radiography. Early recognition of signs and symptoms of the mechanism of injury is key to initiating early damage control surgery and ultimately decreasing morbidity and mortality. This case report describes the intraoperative management of an elderly female patient with TAR following a motor vehicle collision in a remote location in rural Pennsylvania. Competing Interests: The authors have declared no financial relationships with any commercial entity related to the content of this article. The authors did discuss off-label use within the article. Disclosure statements are available for viewing upon request. (Copyright© by the American Association of Nurse Anesthetists.) |
| Databáze: | MEDLINE |
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